Home Telemonitoring In Heart Failure: A Systematic Review And Meta-Analysis

Pekmezaris, Renée; Tortez, Leanne M.; Williams, Margaret A.; Patel, Vidhi; Makaryus, Amgad N.; Zeltser, Roman; Sinvani, Liron; Wolf‐Klein, Gisele; Lester, Janice; Sison, Cristina; Lesser, Martin; Kozikowski, Andrzej

doi:10.1377/hlthaff.2018.05087

Cited by 73 publications

(73 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…65,66 The role of telemonitoring shows promise but remains investigational, with relatively limited short-term impact on both mortality and hospitalizations in CHF, in which the potential benefit is arguably very likely to be the greatest. 67 Mayo Clinic has home-based programming in various stages of development that includes all of these elements, akin to the mixed model of Mount Sinai. 68 Finally, the longstanding nationally disseminated Program of All Inclusive Care of Elders (PACE), an ambulatory day center, based combined medical and social model with mixed funding from both Medicare and Medicaid, which remains an effective care model in reducing both hospitalization and skilled-nursingefacility placement.…”

Section: Complementary Programsmentioning

confidence: 99%

Hospital to Community Transitions for Older Adults

Takahashi

Leppin

Hanson

2020

Mayo Clinic Proceedings

View full text Add to dashboard Cite

Spurred by changes in both population demographics and health care reimbursement, health care providers are responding by using new models to more fully support the posthospital transition. This paper reviews common models for posthospital transition and also describes the Mayo Clinic model for care transition. Models are designed with the intent of managing the cost of health care by reducing 30-day hospital readmissions and improving management of chronic disease. Meta-analyses have proved helpful in identifying the most effective program elements designed to reduce 30-day hospital readmissions. These elements include a bundled and multidisciplinary approach to best meet the needs of patients. Successful care teams also emphasize self-empowerment for both patients and caregivers. There are 2 general types of practice. In 1 model, introduced by Mary Naylor, an advancedpractice provider cares for the patient for a set period of time, which includes home visits. In the second model, introduced by Eric Coleman, a transitions coach, who can be an RN, a social worker, or a trained volunteer, serves as the health care coach, while improving self-efficacy. Both models have been successful. At Mayo Clinic, the Mayo Clinic Care Transitions program has encompassed a 7-year experience, using the services of an advanced practice provider. In previous studies, this model demonstrated a 20.1% (95% confidence interval [CI], 15.8 to 24.1%) decrease in 30-day readmission in controls compared with 12.4% (95% CI, 8.9 to 15.7%) in the control group. Although this model was successful in reducing 30-day readmissions, there was no difference between groups at 180 days. In patients experiencing the highest deciles of cost (8th decile), enrollment in a care transitions program reduced their overall cost by $2700. This cost savings was statistically significant. Both patients and caregivers participating in the program appreciated the home visits and felt more comfortable communicating at home.

show abstract

Section: Complementary Programsmentioning

confidence: 99%

Hospital to Community Transitions for Older Adults

Takahashi

Leppin

Hanson

2020

Mayo Clinic Proceedings

View full text Add to dashboard Cite

show abstract

“…A 20% reduction in all-cause mortality and 21% reduction in rate of hospitalization were documented in a third meta-analysis of 4264 patients [24]. However, another recent meta-analysis suggested that a decline mortality is short-lived; home telemonitoring reduced all-cause and heart failure-related mortality at 180 days, but not at 365 days [25].…”

Section: Congestive Heart Failure (Chf) Managementmentioning

confidence: 99%

“…Several studies have shown that home telemonitoring, including digital scales, blood pressure monitoring via smartphones, and pulse oximeters can reduce both hospital admissions and mortality [21][22][23][24][25]. One meta-analysis of home telemonitoring [21], documented a 40%-46% reduction (not statistically signi icant) in CHF-related admissions, a signi icant reduction in mortality (30%-67%), and a 53%-62% reduction in bed days.…”

Section: Congestive Heart Failure (Chf) Managementmentioning

confidence: 99%

Connected Health Apps and Devices: Implications for Healthcare Delivery

Figge¹,

Kvedar²

2019

Clin J Nurs Care Pract

View full text Add to dashboard Cite

Healthcare is realizing the importance of health information technology -its applications and devices in play today. Advancing healthcare best practices will rely on up to date data and analysis to provide the most effective forms of therapy. Healthcare is becoming more reliant on patients who are engaging in their own healthcare. With this we are seeing an increase in available health related apps for these devices. This summary reviews various connected health strategies using proven apps and devices to improving the quality of care, promoting patient engagement, and improving outcomes. Here we discuss several trends and the healthcare delivery implications.

show abstract

“…It is in this scenario that we can use the beneficial results of recent studies showing that telehealth can be a promising alternative in the management of chronic diseases (12)(13)(14) . In Brazil, monitoring and education programs involving complex methodologies and technologies could have limited practical applicability, taking into account the social, economic and cultural peculiarities of the country.…”

Section: Introductionmentioning

confidence: 99%

Development and testing of a text messaging (SMS) monitoring software application for acute decompensated heart failure patients

Pedraza

Moraes

Rabelo‐Silva

2020

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective: to develop and test an SMS monitoring software application for patients with acute decompensated heart failure. Method: the waterfall model was used for software development. All expected functionalities were defined, program modules were codified and tests were done so as to ensure good performance by the software application. Ten patients participated in the prototype test. Results: the system sends two types of messages: questions that should be answered by patients and unilateral educational reinforcements. In addition, the system generates alarms in case of no response or according to a flow chart to detect congestion in the patient previously created by the team. Of the 264 SMS texts sent, 247 were answered. The alarm was triggered seven times: three patients woke up with shortness of breath for two consecutive nights, and four patients felt more fatigued for two consecutive days. All patients took the prescribed medications during follow-up. The study nurse guided the patients who generated alarms in the system. Conclusion: the SMS software application was successfully developed and a high response rate and preliminary evidence of improvements in self-management of HF were observed. With this regard, telehealth is a promising alternative in the treatment of chronic diseases

show abstract

Home Telemonitoring In Heart Failure: A Systematic Review And Meta-Analysis

Cited by 73 publications

References 28 publications

Hospital to Community Transitions for Older Adults

Hospital to Community Transitions for Older Adults

Connected Health Apps and Devices: Implications for Healthcare Delivery

Development and testing of a text messaging (SMS) monitoring software application for acute decompensated heart failure patients

Contact Info

Product

Resources

About